JEFFREY RANDALL


Address: 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093
Phone: 5033278205

JEFFREY RANDALL (NPI# 1053782656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053782656
Entity Type Individual
Full Name JEFFREY RANDALL
Practice Address 3500 Ne Mlk Blvd Ste 200
Portland
OR 97212-2093
Mailing Address Po Box 82819
Portland
OR 97282-0819
Practice Telephone 5033278205
Enumeration Date 2015-10-08
Last Update Date 2019-03-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
L7994 OR Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JEFFREY RANDALL

NPI Name Taxonomy Address Enumeration
1871926816 Jeffrey Scott Randall Licensed Practical Nurse 2230 W Calle Del Sol, Phoenix, AZ 85085-7044 2013-08-13
1376688796 Jeffrey Dwayne Randall Counselor 501 Highway 90 E, Little River, SC 29566-9261 2007-02-21
1952469967 Jeffrey Blaine Randall Chiropractor 434 S Kiwanis Ave, Suite A, Sioux Falls, SD 57104-3710 2006-12-04
1598716045 Jeffrey Randall Physical Therapist 9088 Ridgeline Blvd Ste 106, Highlands Ranch, CO 80129-2380 2006-05-12
1730707480 Jeffrey Blaine Randall Counselor 4867 Urbana Rd, Springfield, OH 45502 2020-07-09
1841754066 Jeffrey Randall Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2019-01-23
1780916577 Jeffrey Gordon Randall Social Worker 4131 Meridian Dr, Windsor, WI 53598-9699 2010-02-04
1467410811 Jeffrey C Randall Orthopaedic Surgery 1112 W 6th St, Ste 124, Lawrence, KS 66044-2215 2006-05-03
1720046295 Jeffrey Blaine Randall Neurological Surgery 20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 2006-05-03

Office Location

Street Address 3500 NE MLK BLVD STE 200
City PORTLAND
State OR
Zip Code 97212-2093

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063759231 Jennifer Cooper Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2013-01-08
1275133753 Patricio Javier Harkness Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2020-10-26
1639660301 Sandra Chavez Behavioral Analyst 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2018-05-29
1326546391 Lauren Jean La Riva Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2018-01-24
1508384710 Rocio Olivera Case Manager/Care Coordinator 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2017-09-07
1548790447 Alisha Haunani Chan Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2017-06-14
1356899298 Maria De Los Angeles Zacarias Paz Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2016-09-20
1215384490 Andrea Tomoe Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2016-05-18
1548664121 Betsy Velazquez Student in an Organized Health Care Education/Training Program 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2014-10-10
1265834972 Ionela Cimpan Student in an Organized Health Care Education/Training Program 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2014-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285191361 Beliving Counseling and Consulting Counselor 311 Ne Russell Street, #211, Portland, OR 97212 2019-02-26
1497223051 Shira Dennis Behavioral Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063012649 Kathleen Russell Social Worker 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 2020-10-31
1275131534 Alice Hacker Social Worker 14702 Se Rhone St, Portland, OR 97236-2557 2020-10-09
1598372070 Kristin Elizabeth Hajny Social Worker 9343 Sw Camille Ter, Portland, OR 97223-7042 2020-09-28
1821605759 Melanie Smith Social Worker 4210 N Juneau St, Portland, OR 97203-2063 2020-09-24
1871100867 Purely Spirit Holistic Health, LLC Social Worker 226 Stevens Ave Apt 9, Portland, ME 04102-2263 2020-09-24
1023624780 Flourish Counseling and Consulting LLC Social Worker 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 2020-09-18
1245845130 Crescent Psychotherapy Social Worker 168 Neal St, Portland, ME 04102-3343 2020-09-09
1861007676 Yvonne Recchia Social Worker 5257 Ne Mlk, Portland, OR 97211-3282 2020-09-09
1447864327 Gordon Keepers Social Worker 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 2020-09-08
1609484187 Julie Pratt Social Worker 14 Culver Ln, Portland, CT 06480-1323 2020-07-21
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97212

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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